Individual
DR. TYLER RENEE WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
166 PARKMONT WAY, DALLAS, GA 30132-1121
(313) 415-6908
Mailing address
166 PARKMONT WAY, DALLAS, GA 30132-1121
(313) 415-6908
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR0112668
GA
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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